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Related Concept Videos

Nursing Implementation01:15

Nursing Implementation

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Implementation is the execution of the nursing care plan developed during the planning phase.
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Methods of Documentation VI: Case Management Model01:15

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The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
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Interdisciplinary Care: The Health Care Team-II01:18

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An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care. Here are a few more healthcare professionals.
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Planning Nursing Care II01:29

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A nursing care plan can present in two forms: informal and formal. Informal is a care plan for the individual use of the nurse and goals they wish to accomplish during their shift. Informal care plans are not included in the patient chart. A formal nursing care plan is a written or computerized guide that organizes patient care. It is further subdivided into two: standardized and individualized care plans. Standardized care plans are pre-populated care plans for specific patient populations,...
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Related Experiment Video

Updated: Dec 25, 2025

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
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Scaling Implementation of the Serious Illness Care Program Through Coaching.

Corinne Alexander Cole1, Erica Wilson1, Phuong L Nguyen1

  • 1Division of Palliative Care and Geriatrics, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.

Journal of Pain and Symptom Management
|March 24, 2020
PubMed
Summary

Group coaching for primary care physicians (PCPs) significantly increased documented serious illness conversations. This intervention enhanced communication skills and Serious Illness Care Program uptake, with most PCPs recommending the training.

Keywords:
Coachingadvance care planningcommunicationprimary careprimary palliative careserious illness

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Area of Science:

  • Medical Education
  • Primary Care Medicine
  • Communication Skills Training

Background:

  • Effective communication is crucial for serious illness care.
  • Primary care physicians (PCPs) require enhanced skills for serious illness conversations.
  • Serious Illness Care Program uptake needs reinforcement in primary care settings.

Purpose of the Study:

  • To evaluate the impact of group coaching calls on communication skill acquisition.
  • To assess the effect of coaching on Serious Illness Care Program uptake among PCPs.
  • To measure the increase in documented serious illness conversations in the electronic health record (EHR).

Main Methods:

  • Group coaching calls were offered to internal medicine PCPs trained in serious illness conversations.
  • Coaching addressed communication challenges, EHR documentation, and billing for serious illness conversations.
  • Participant feedback surveys were used to assess provider attitudes and intervention value.

Main Results:

  • A total of 31 coaching calls were completed, with 74.6% PCP penetration.
  • The percentage of PCPs documenting serious illness conversations increased from 18.4% to 41.2% six months post-intervention.
  • 86.9% of surveyed PCPs found the calls valuable and would recommend them.

Conclusions:

  • Group coaching effectively reinforced communication skills for serious illness care.
  • The intervention led to a twofold increase in documented serious illness conversations.
  • PCPs valued the coaching for its practical content, peer interaction, and expert feedback.